
<div id="page-wrapper" >
    <div id="page-inner">
        <div class="row">
            <div class="col-md-12">
                <div class="panel panel-default">
                    <div class="panel-heading">
                        新增纸币兑换网点
                        <a href="javascript:history.back(-1)" class="btn pull-right">返回</a>
                    </div>
                    <div class="panel-body">
                        <div class="row">
                            <div class="col-md-6 col-md-offset-3">
                                <div class="form-group input-group">
                                    <span class="input-group-addon">银行名称</span>
                                    <input type="text" class="form-control" ng-model="netName" placeholder="如:中国银行鹰潭分行">
                                </div>
                                <div class="form-group input-group">
                                    <span class="input-group-addon">地区</span>
                                    <select class="form-control" name="bankNetId" ng-model="areaId">
                                        <option value="1" selected>月湖区</option>
                                        <option value="2">贵溪市</option>
                                        <option value="3">余江县</option>
                                    </select>
                                </div>
                                <div class="form-group input-group">
                                    <span class="input-group-addon">地址</span>
                                    <input type="text" class="form-control" ng-model="address" placeholder="如:鹰潭市胜利西路XX号">
                                </div>
                                <div class="form-group input-group">
                                    <span class="input-group-addon">电话</span>
                                    <input type="text" class="form-control" ng-model="phone" placeholder="如:0701-XXXXXXX,0701-XXXXXXX">
                                </div>
                                <div class="form-group">
                                    <button class="btn btn-primary button-center" ng-click="submit()">添加网点</button>
                                </div>
                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
</div>